Lessons from Europe – a Scottish perspective

Professor George CrooksDonna HendersonNHS 24

• NHSScotland– £12 billion– 14 Health Boards– 8 Support Boards– 32 Local

Authorities– Integrated delivery– Moving towards

social care integration

OUR VISION IS THAT BY 2020:

•Everyone is able to live longer healthier lives at home, or in a homely setting. •We will have an integrated health and social care system, with a focus on prevention, anticipation and supported self management. •When hospital treatment is required, and cannot be provided in a community setting, day case treatment will be the norm.•Whatever the setting, care will be provided to the highest standards of quality and safety, with the person at the centre of all decisions.•There will be a focus on ensuring that people get back into their home or community environment as soon as appropriate, with minimal risk of re-admission.

“The Scottish Governments international activities make crucial contributions to sustainable economic growth.

We are committed to ensuring Scotland is a great place to live, work, learn, invest, visit and do business with”

http://www.sctt.scot.nhs.uk/programmes/european-projects/

Key Objectives

• Actively engaging with European institutions to the benefit of Scotland and other countries of Europe.

• Building relationships and partnerships to learn from others, share best practice and collaborate on areas of mutual interest.

• Enhance Scotland’s reputation in Europe and by so doing create further opportunities including securing inward investment and generating economic growth.

• Influence and secure funding from relevant EU funding programmes to benefit Scotland by supporting the delivery of key national strategic initiatives.

EUROPEAN PARTNERSHIPS

EXCHANGE AND LEARNING

RESEARCH, INNOVATION & DEPLOYMENT

Key Components of Engagement

Key Ambitions

“Deliver Government Policy”

• Raise the Profile of Scotland• Raise the Profile of NHS Scotland• Promote NHS Scotland as a leader in the

provision of Telehealth and Telecare Services

• Develop Networks and Partnerships to share best practice and knowledge

• Secure Funding for the NHS and Scotland

EUROPEAN PARTNERSHIPS

EIP on AHA Action GroupsReference Sites

+2 Healthy Life Years by 2020Triple win for Europe

Reference Sites

European Innovation Partnership on Active and Healthy Ageing (EIP-AHA)

Action Group

Focus Scotland’s Commitment

Represented by

A1 Adherence & Medication Pharmaceutical Care for Long Term Conditions

Scottish Government

A2 Falls prevention National Falls Programme

Scottish Government

A3 Frailty Acute Focus on Frailty

JIT

B3 Integrated care ICT enabled integrated health and social care

NHS24

C2 Independent living Living it Up NHS24D4 Smart cities and

communitiesDementia Enabled Communities

The ALLIANCE

• develop policy on active & healthy ageing

Political added value of the EIP

• support from the ground

• mobilise efforts & resources

• inspire for policy action

• identify good practices working in real life

High level conferences (e-health, Gastein Forum, Conference of Partners, Frailty and

Adherence Conferences)

Alignment of priorities in Horizon 2020, CIP 2013, PHP 2013 etc.

Joint Action on Chronic Diseases and Healthy Ageing (28 countries + 5 networks)

Reflection process of the MS: Towards modern, responsive and sustainable health

systems

NHS SCOTLAND

Is already committed through EXISTING

strategies and actions to support the objectives

and challenges set out in the EIP

RESEARCH, INNOVATION & DEPLOYMENT

European Funding Streams

• Competitiveness & Innovation Programmes (CIP)– Designed to support the European Digital Agenda, including healthcare. – Focus on scaling existing services/pilots and building the evidence base

for telehealth and telecare deployment in Europe.– SCTT in 3 current projects : United4Health; Smartcare; MasterMind.

• FP 7 Projects– Focus on research and innovation in health and/or

ICT innovation at development stage.– SCTT in 2 current projects: UNWIRED Health; eSMART.

• Thematic networks projects– INTERREG IVC, CIP, Public Health Programme.– Focus on sharing results and knowledge across the EU and the use of

digital technologies to improve local service delivery.– SCTT in 3 current projects: CASA, Momentum, ACT

United4Health (CIP)• Timeline: January 2013-December 2015• Total budget Scotland: €1,556,478.00 • European funding: 50% of budget• Strategic fit: Support health and social care integration (ICT

solutions for the management of people living with long term conditions in home settings, deployed at scale; cost-effectiveness)

• Project impact: +7000 patients with one of the three conditions (COPD, diabetes and heart failure)

• Scottish partners / implementation sites: – NHS24 (overall coordinator & lead for Diabetes workstream); – 3 Health Boards (NHS Ayrshire & Arran; NHS Greater Glasgow

& Clyde; NHS Lanarkshire)– 7 Local Authorities (North, South & East Ayrshire Council, East

Renfrewshire & Renfrewshire Councils; North & South Lanarkshire Council)

SmartCare (CIP)

• Timeline: January 2013 - February 2016• Total budget Scotland: €1,457,195.00 • European funding: 50% of budget• Strategic fit: Support health and social care integration (role of

ICT to support integrated care; focus on falls prevention and management; Living it Up)

• Project impact: 10,000 people (8, 000 patients ad 2, 000 health professionals)

• Scottish partners / implementation sites: – NHS24 (project partner) – 3 Health Boards (NHS Ayrshire & Arran; NHS Greater

Glasgow and Clyde; NHS Lanarkshire)– 7 local authorities (North, South and East Ayrshire Council,

East Renfrewshire and Renfrewhsire Council; North and South Lanarkshire Council)

MasterMind (CIP)• Timeline: March 2014 - February 2017• Total budget Scotland: €804,632.00 • European funding: 50% of budget• Strategic fit: Enhance wellbeing; support health and

social care integration (computerised Cognitive Behavioural Therapy programme to treat people with depression and anxiety)

• Project impact: 800 people• Scottish partners / implementation sites:

– NHS24 (project partner leading the worksteam on benefit of cCBT)

– 4 Health Boards (Fife, Shetland, Lanarkshire, Grampian)

UNWIRED Health (FP7)

• Timeline: January 2014-December 2016• Total budget Scotland: €788,356.30 • European funding: 75% of budget• Strategic fit: Support economic growth; support

health and social care integration (mobile eHealth services for patient empowerment; pre-commercial procurement process)

• Project impact: Patients and health professionals• Scottish partners / implementation sites:

– NHS24 (project partner)– NHS Greater Glasgow and Clyde

CASA (INTERREG IVC)

• Timeline: July 2012 - December 2014• Total budget Scotland: €155,377.00 • European funding: 75% of budget• Strategic fit: Exchange learning; develop and

embed good practices (study visits /secondments)• Project impact: Understanding of health and

social care systems and innovative services in other countries that can be applied to improve health and social care delivery in Scotland

• Scottish partners: – NHS24 (project partner)

Momentum (CIP)

• Timeline: February 2012 - December 2014• Total budget Scotland: €17,001.00 • European funding: 100% of budget• Strategic fit: Exchange learning; develop

and embed good practices on telemedicine services in Europe

• Project impact: European Blueprint for Telemedicine Deployment at Large Scale

• Scottish partners: – NHS24 (project partner)

ACT (Public Health Programme)

• Timeline: February 2013 - December 2015• Total budget Scotland: €68,534.00 • European funding: 60% of budget• Strategic fit: Exchange learning; develop and

embed good practices on care co-ordination and telehealthcare services

• Project impact: “Cook book” (indicators that have influence on the outomes of care coordination programmes and telehealth services)

• Scottish partners: – NHS24 (project partner)– West Lothian CHCP, supported by ISD

Horizon 2020• Timeline: 2014 -2020• Total budget : (80 billion EUR)

– 488 m EUR 2014– 492 m EUR 2015

• Objectives: – Health, demographic challenge and well-being– Active and healthy ageing, independent living– Sustainability of healthcare systems

• Scotland’s participation in 2014:– 10 proposals submitted– 2 proposals through to the second stage:

• PIEM3 (Scottish Government, NHS ISD, University of Glasgow) – an Integrated European Evidence-based Model for the Management of Multimorbidity (Total budget: €6m)

• HealthMatch (NHS Scotland, JIT) – matching stratified populations to available services based on combined criteria, inc quality and cost-effectiveness (Total budget €4-6 m)

– 1 winning proposal• Cracking the language barrier (NHS24) – to improve machine translation of health text

substitute translators for public health information (Budget for NHS24: €547,425)• Identified priorities for 2015:

– PHC 25 – Advanced ICT Systems and services for integrated care (Expected budget: €3-5m)– PHC 28 – Self-management of health and disease / decision support systems based on

predictive computer modeling used by the patient (Expected budget: €3-5m)

Ambient Assisted Living Joint Programme• Timeline: 2015

• Total budget: €1-7m (AAL Association + EC); 60% of eligible costs for SMEs, up to 50% for large companies, local authorities, health trusts, up to 100% for charities

• Objectives of the 2015 Call:Living active and independently at home – the contribution of ICT / technologies to integrated solutions for supporting active and independent living of older adults in their homes”

–Deadline: 28 May 2015

Public Health Programme • Timeline: June 2014 - 2020• Total budget: €449,4m (EC DG SANCO) • Objectives:

– Health promotion, disease prevention, healthy lifestyles environments;

– Cross-border health threats;– Innovative, efficient and sustainable health systems;– Access to better and safer healthcare

• Scotland’s participation in 2014:– SIMPATHY – Stimulating Innovation Management of

Polypharmacy and Adherence in Older People– Partner: Scottish Government – Expected budget: €66,000

INTERREG EUROPE Programme

• Timeline: 2014 - 2020

• Total budget: €359m (DG Regio)

• Objectives: Knowledge Exchange, dissemination and embedment of good practices (research and innovation, ICT)

• First call for proposals mid February 2015

EXCHANGE AND LEARNING

Thematic NetworksMemorandums of

Understanding

• Developed networks with senior officials and key individuals across Europe• Secured Scottish input into the EIP

Strategic Plan• Active membership in the EIP Action

Groups• Secured membership of a number of

European organisations• Hosted the inaugural European

Telemedicine Conference• Hosted the International Integrated Care

Conference 2015

We have:

Hosted Exchange Visits - 2014• Basque Minister for Health & Minister for

Social Affairs and Welfare & senior officials;• Danish Regions and service providers• Catalan Health Ministry• Norwegian Government and municipalities• Swedish municipalities• Flanders Government and SMEs• Polish National Health Insurance providers• Veneto Region• 1 CASA project Study Visit – 70 participants

from 11 regions

MOUs and Action Plans•Catalonia•Basque Country•Greece•Norway•South Denmark•Kent!

Lessons Learned

Lessons learnedPolitical•Ensure you have politcal support and buy-in at a local level•Be aware of the politics – at Member State, Region and local levels•European Commission - rules of engagement Networks•Cultural differences – rules of engagement•Understand what motivates others•Prioritise your involvement

Lessons learnedEuropean funded projects•Be clear about your strategic priorities before you engage•Choose your project partners wisely•Learn how to say NO (politely)!•Speculate to accumulate - you need to invest resources•Don’t expect a high level of success!•There’s never enough time….start early•Engage early with local stakeholders – you need them to deploy

SCTT European Engagement Team• European Strategic Leadership – George Crooks / Donna Henderson• European Engagement Manager – Janne Rasmussen• European Service Development Manager - Andrea Pavlickova • European Project Co-ordinator – Victoria Hunter• European Finance Manager – Morag Keith• European Project Managers – Pamela Rennie / Marlene Harkis / Michelle Brogan / Chris

Wright

Support available to Health & Social Care Partnerships

• Awareness raising - European digital health and care agenda and funding opportunities

• Signposting partnerships to relevant funding opportunities

• Matchmaking – linking Scottish partners with suitable European partners

• Advice and guidance -– development of funding proposals– European project management

Thank you!http://www.sctt.scot.nhs.uk/